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Elaine Pregnancy Registry Patient ID:Initials Date of Birth / / ADDITIONAL FORM 2 Neonatal death (page 1/4) Please return this form by fax to HRA Pharma at + 33 1 42 77 03 52 Pregnancy term (in weeks)
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What is additionnal form 2 210909?
It is a supplementary form required by the tax authorities.
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Individuals or entities with specific financial transactions may be required to file this form.
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